Wisco Dental, S.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

WISCO DENTAL, S.C.

Practice address

1155 Wittmann Dr
Menasha, WI 54952-3607

Phone

(920) 725-1845

Fax

(920) 725-2805

NPI assigned

Aug 19, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey R Lang, DDS

Title

President

Phone

(920) 725-1845

Specialties & licenses 1

Addresses

Other names 1

• Fox Valley Orthodontics Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1972936508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 WITTMANN DR",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549523607",
            "telephone_number": "920-725-1845",
            "fax_number": "920-725-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WITTMANN DR",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549523607",
            "telephone_number": "920-725-1845",
            "fax_number": "920-725-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCO DENTAL, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-725-1845",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Valley Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindley Anne Wilkerson, MA, LPC
• Cathleen Starck Wille
• Davian Willems
• Brianne M Williams, PT, DPT
• Holly D Wilson, APSW
• Wisconsin Eye Consultants S. C.
• Wisconsin Independent Living, Inc.
• Wisconsin Prosthetics & Orthotics Inc
• Ashley B. Witlacil, SAC
• Julie Wockenfus, CSAC

• Orthodontics and Dentofacial Orthopedics Dentistry in Menasha, WI
• Providers in Menasha, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.